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10 Cards in this Set
- Front
- Back
Characteristics of Borderline Personality Disorder |
A persuasive pattern of instability and dysregulation across emotional, behavioral, cognitive and interpersonal domains.
Problems with anger and anger expression. Self destructive behavior |
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DBT |
Uses the therapeutic relationship to point out ambivalence. Blends behavioral and crisis intervention theories. Emphasizes acceptance and tolerance balanced with change. |
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Contingency Procedures |
Requires therapist to organize their own behaviors so they can influence the client. Must set limits, use punishment with great care in low doses. |
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Exposure and Dialectical Behaviors |
Client is exposed to clues of previous traumatic events, and client learns hows to control the emotions. |
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Cognitive Modification |
Message of DBT is that the source of the client's distress is the extremely stressful events of his life. |
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Telephone Consultation |
Between session phone calls provide coaching in skills and promote skill generalization, provide emergency crisis intervention. |
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Enter the paradox |
Clients have the right to kill themselves but if they ever convince the therapist that suicide is imminent, there will be a serious intervention.
Clients are not responsible for how they are but who they become.
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Devil's advocate |
Therapist argues in favor of the dysfunctional belief.
Client: I'm overweight, I'm better off dead. SW: Perhaps I should kill myself because I'm 10 pounds overweight. |
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Extending |
Extend the movements endpoint slightly further than what would naturally occur, leaving the challenger vulnerable and off balance.
ex: Patient needs to see therapist immediately or might end up killing themselves.
Your life is in danger. I will call the rescue squad immediately! |
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Making lemonade out of lemons |
Utilize client's resistance. Therapeutic problems are an opportunity for therapist to help the client. |